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  1. Mismanagement of Delirium | PSNet

    psnet.ahrq.gov/web-mm/mismanagement-delirium
    February 13, 2014 - Mismanagement of Delirium Citation Text: Merrilees J, Lee KP. Mismanagement of Delirium. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endn…

  2. Improving Sickle Cell Transitions, Focus Group Moderator Guide: IT Developers (pdf file)

    digital.ahrq.gov/sites/default/files/docs/survey/improving-sickle-cell-transitions-focus-group-moderator-guide-%20it-developers.pdf
    June 16, 2021 - Improving Sickle Cell Transitions, Focus Group Moderator Guide: IT Developers Improving Sickle Cell Transitions, Focus Group Moderator Guide: IT Developers The Lewin Group, Inc., Falls Church Virginia This is a focus group guide designed to be conducted with developers across a health care system. The tool …

  3. In Conversation with…Albert Wu, MD, MPH | PSNet

    psnet.ahrq.gov/perspective/conversation-withalbert-wu-md-mph-0
    March 24, 2025 - In Conversation with…Albert Wu, MD, MPH May 1, 2011  Citation Text: In Conversation with…Albert Wu, MD, MPH. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011. Copy Citation Format: …

  4. Volume Too Low: In and Out | PSNet

    psnet.ahrq.gov/web-mm/volume-too-low-and-out
    July 01, 2017 - SPOTLIGHT CASE Volume Too Low: In and Out Citation Text: Miller MR. Volume Too Low: In and Out . PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011. Copy Citation Format: Google Scholar BibTeX EndNote X3 XM…

  5. Duplicate Insulin Order | PSNet

    psnet.ahrq.gov/web-mm/duplicate-insulin-order
    May 04, 2012 - Duplicate Insulin Order Citation Text: Acquisto NM, Cobaugh DJ. Duplicate Insulin Order. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endn…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865455/psn-pdf
    March 27, 2024 - Communication During Transitions of Care March 27, 2024 Gurses AP, Sousane Z, Mossburg S. Communication During Transitions of Care. PSNet [internet]. 2024. https://psnet.ahrq.gov/perspective/communication-during-transitions-care Introduction Inaccurate or untimely communication and ineffective teamwork in healthca…

  7. Patient Access to Medical Notes in Primary Care (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/opennotes-1.pdf
    May 01, 2016 - Patient Access to Medical Notes in Primary Care Patient Access to Medical Notes in Primary Care: Improving Engagement and Safety Executive Summary Primary care physicians at Beth Israel Deaconess Medical Center (BIDMC) provided patients with access to their clinical notes as part of a demonstration project, Open…

  8. Link Plus - Self-Training Manual for Linkage (pdf file)

    hcup-us.ahrq.gov/datainnovations/raceethnicitytoolkit/or16.pdf
    June 16, 2014 - Link Plus - Self-Training Manual for Linkage 1 Link Plus - Self-Training Manual for Linkage Developed by Northwest Tribal Registry Project staff, Northwest Portland Area Indian Health Board ** DISCLAIMER: This un-official manual was developed for internal training, and is not sanctioned by CDC or Link P…

  9. eHHIC: Hospital Engagement (pdf file)

    hcup-us.ahrq.gov/datainnovations/clinicalcontentenhancementtoolkit/hi24.pdf
    September 01, 2013 - eHHIC: Hospital Engagement 1 | P a g e Hawaii Health Information Corporation Enhancing Hawaii Hospital Information Content (eHHIC) Deliverable 1: Hospital Engagement 2 | P a g e TABLE OF CONTENTS I. OBJECTIVE……………………………….………………..…………………………………………3 a. HOSPITAL RECRUITMENT…

  10. Promoting Self-Management in Stroke Survivors Using Health-IT - Final Report (pdf file)

    digital.ahrq.gov/sites/default/files/docs/publication/r21hs021794-lakshiminarayan-final-report-2015.pdf
    January 01, 2015 - Promoting Self-Management in Stroke Survivors Using Health-IT - Final Report Promoting Self-Management in Stroke Survivors Using Health-IT AHRQ R21 HS21794 Principal Investigator: Kamakshi Lakshminarayan MBBS, PhD, MS (kamakshi@umn.edu) Co-investigators: Sarah Westberg PharmD, David Pieczkiewicz PhD, Farah …

  11. Introduction-User-Guide-To-Ocer 130129 (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/introduction-user-guide-to-ocer_130129.pdf
    April 26, 2012 - 1 Introduction to Developing a Protocol for Observational Comparative Effectiveness Research: A User’s Guide Scott R. Smith, Ph.D. Agency for Healthcare Research and Quality, Rockville, MD Background When making health care decisions, patients, health care providers, and policymakers routinely seek unbiased inf…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33580/psn-pdf
    April 01, 2022 - Nursing and Patient Safety April 21, 2021 Phillips J, Malliaris AP, Bakerjian D. Nursing and Patient Safety. PSNet [internet]. 2021. https://psnet.ahrq.gov/primer/nursing-and-patient-safety Updated in March 2021. Originally published in December 2011 by researchers at the University of California, San Francisco.  …

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854849/psn-pdf
    October 31, 2023 - “Copy and Paste” Notes and Autopopulated Text in the Electronic Health Records October 31, 2023 MacDonald S. “Copy and Paste” Notes and Autopopulated Text in the Electronic Health Records. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/copy-and-paste-notes-and-autopopulated-text-electronic-health-record Th…

  14. Final Progress Report: Factors Associated With Quality of Care Delivered to Children in US EDs (pdf file)

    www.ahrq.gov/sites/default/files/2024-12/marcin-report.pdf
    January 01, 2024 - Final Progress Report: Factors Associated With Quality of Care Delivered to Children in US EDs Factors Associated with Quality of Care Delivered to Children in US EDs PI: James P. Marcin, MD Co-Investigators: Madan Dharmar, MBBS, PhD; Patrick Romano, MD; Nathan Kuppermann, MD, MPH Organization: Regents of the Uni…

  15. Final Progress Report: Improving Quality With Outpatient Decision Support (pdf file)

    www.ahrq.gov/sites/default/files/2024-07/bates2-report.pdf
    January 01, 2024 - Final Progress Report: Improving Quality With Outpatient Decision Support Title: Improving Quality With Outpatient Decision Support Principal Investigator: David W. Bates, MD Organization: Brigham and Women's Hospital, Boston, Massachusetts Federal Project Officer: Stanley Edinger Grant Number: 5 U18 HS011046 Grant S…

  16. Navigating Chaos: Fatal Iatrogenic Liver Injury in a Patient Admitted for Leg Fractures | PSNet

    psnet.ahrq.gov/web-mm/navigating-chaos-fatal-iatrogenic-liver-injury-patient-admitted-leg-fractures
    November 27, 2019 - Navigating Chaos: Fatal Iatrogenic Liver Injury in a Patient Admitted for Leg Fractures Citation Text: Loseth C. Navigating Chaos: Fatal Iatrogenic Liver Injury in a Patient Admitted for Leg Fractures. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and …

  17. A Double “Never Event”: Wrong Patient and Wrong Side. | PSNet

    psnet.ahrq.gov/web-mm/double-never-event-wrong-patient-and-wrong-side
    August 20, 2018 - A Double “Never Event”: Wrong Patient and Wrong Side. Citation Text: Bellini A, Salcedo ES. A Double “Never Event”: Wrong Patient and Wrong Side.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023. Copy Citation Format: …

  18. Slippery Slide Into Life | PSNet

    psnet.ahrq.gov/web-mm/slippery-slide-life
    January 21, 2017 - Slippery Slide Into Life Citation Text: Halamek LP. Slippery Slide Into Life. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged …

  19. Improving Safety Using Teamwork and Patient Safety Norms (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/teamwork-ptsafety-norms-slides.pdf
    June 30, 2025 - Improving Safety Using Teamwork and Patient Safety Norms Creating and Maintaining a Culture of Safety Series (Session 2) Improving Safety Using Teamwork and Patient Safety Norms NATIONAL WEBINAR SERIES March 18, 2025 Housekeeping Instructions • This webinar will be recorded and available for viewing on the NAA…

  20. Diagnostic Safety Resource List (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/diagnostic-safety-resources.pdf
    May 01, 2023 - Diagnostic Safety Resource List Improving Diagnostic Safety in Medical Offices: A Resource List for Users of the AHRQ Diagnostic Safety Supplemental Item Set I. Purpose This document provides a list of references to websites and other publicly available resources that medical offices can use to improve the ex…
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